NCLEX-style Human Development
Theory Questions and Answers
d. Coping, Defensive related to stress of hospitalization
Feedback: A toilet-trained 4-year-old who becomes incontinent during hospitalization is
coping with the stress of this experience through the defense mechanism of regression.
This is an effective means of coping for a child this age. Answer- 1.
A 4-year-old who has been toilet-trained becomes incontinent when hospitalized for
surgery. What is the most appropriate nursing diagnosis based on this assessment
finding?
a. Growth and Development Altered related to incontinence
b. Ineffective Individual Coping related to hospitalization
c. Urinary Elimination, Altered related to incontinence
d. Coping, Defensive related to stress of hospitalization
Answer: b. Introduce the adolescent to another teenager who is successfully managing
his diabetes.
Feedback: The adolescent benefits from meeting teens who are successfully managing
a similar diagnosis. The adolescent might not respond well to being instructed what to
do. Although the teen needs information related to consequences of noncompliance,
this should never be in the form of a warning. In addition, this information would not
facilitate coping with the diagnosis. The teen needs to remain as independent as
possible. Although parents must learn the information as well, the teen still is
encouraged to be very involved in his care and to be as independent as possible.
Answer- 2.
A 14-year-old has been diagnosed with insulin-dependent diabetes. Which technique is
most appropriate in order to facilitate coping with this diagnosis?
a. Warn the teen of the consequences of noncompliance.
b. Introduce the adolescent to another teenager who is successfully managing his
diabetes.
c. Give the adolescent specific instructions.
d. Encourage increased dependence on parents for several weeks.
Answer: b. Toy vacuum cleaner
Feedback: A 2-year-old benefits from having push-pull toys that encourage movement
and autonomy. Nesting cups are appropriate for older infants. Mobiles are appropriate
for young infants. Playhouses are appropriate for preschool-age children. Answer- 3.
Theory Questions and Answers
d. Coping, Defensive related to stress of hospitalization
Feedback: A toilet-trained 4-year-old who becomes incontinent during hospitalization is
coping with the stress of this experience through the defense mechanism of regression.
This is an effective means of coping for a child this age. Answer- 1.
A 4-year-old who has been toilet-trained becomes incontinent when hospitalized for
surgery. What is the most appropriate nursing diagnosis based on this assessment
finding?
a. Growth and Development Altered related to incontinence
b. Ineffective Individual Coping related to hospitalization
c. Urinary Elimination, Altered related to incontinence
d. Coping, Defensive related to stress of hospitalization
Answer: b. Introduce the adolescent to another teenager who is successfully managing
his diabetes.
Feedback: The adolescent benefits from meeting teens who are successfully managing
a similar diagnosis. The adolescent might not respond well to being instructed what to
do. Although the teen needs information related to consequences of noncompliance,
this should never be in the form of a warning. In addition, this information would not
facilitate coping with the diagnosis. The teen needs to remain as independent as
possible. Although parents must learn the information as well, the teen still is
encouraged to be very involved in his care and to be as independent as possible.
Answer- 2.
A 14-year-old has been diagnosed with insulin-dependent diabetes. Which technique is
most appropriate in order to facilitate coping with this diagnosis?
a. Warn the teen of the consequences of noncompliance.
b. Introduce the adolescent to another teenager who is successfully managing his
diabetes.
c. Give the adolescent specific instructions.
d. Encourage increased dependence on parents for several weeks.
Answer: b. Toy vacuum cleaner
Feedback: A 2-year-old benefits from having push-pull toys that encourage movement
and autonomy. Nesting cups are appropriate for older infants. Mobiles are appropriate
for young infants. Playhouses are appropriate for preschool-age children. Answer- 3.
